| NPI | 1922525666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW MATHIESEN CFO 509-837-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208100000X Physical Medicine & Rehabilitation | |
| 207R00000X Internal Medicine | |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 282N00000X General Acute Care Hospital | |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-10-10 |